TABLE 2

Relationship Between Well-Child Visit Length and the Content, Family-Centered Care, and Satisfaction With Care: NSECH

Visit Length
1–10 min11–15 min16–20 min≥21 min
Bivariate analysis
    Content and quality of care
        Anticipatory guidance (n = 1681), % (SE)54.5 (1.7)63.7 (1.7)a69.2 (1.6)a72.3 (1.7)a
        Psychosocial risk assessment (n = 1687), % (SE)29.1 (1.4)34.5 (1.6)a38.2 (1.7)a47.6 (2.3)a
        Developmental assessment, (n = 1633), %b50.056.966.168.4
        Family-centered care (n = 1645), % (SE)58.3 (1.7)67.6 (1.6)a72.3 (1.5)a76.3 (1.6)a
    Parent satisfaction
        Overall satisfaction (n = 1689), % (SE)82.9 (1.0)86.8 (0.9)a89.5 (0.8)a91.0 (1.0)a
        Would recommend clinicianb (n = 761), %73.379.987.384.7
        Able to ask all questions desiredb (n = 1687), %88.996.498.598.5
        Sufficient time with clinicianb (n = 1685), %75.992.095.999.3
Adjusted multivariable analysisc
    Content and quality of care
        Anticipatory guidance (n = 1681), β (SE)9.0 (2.2)a14.8 (2.3)a17.9 (2.4)a
        Psychosocial risk assessment (n = 1681), β (SE)5.1 (2.0)a9.0 (2.1)a16.9 (2.5)a
        Developmental assessment (n = 1633), OR (95% CI)1.3 (0.9–1.9)2.0 (1.4–3.0)a2.4 (1.5–3.7)a
        Family-centered care (n = 1645) β (SE)9.3 (2.2)a14.4 (2.2)a19.5 (2.4)a
    Parent satisfaction
        Overall satisfaction (n = 1689), β (SE)3.8 (1.3)a6.7 (1.3)a8.7 (1.3)a
        Would recommend clinician (n = 761), OR (95% CI)2.1 (1.1–3.9)a3.5 (1.7–7.1)a3.2 (1.7–6.1)a
        Able to ask all questions desired (n = 1687), OR (95% CI)3.5 (1.6–7.6)a8.7 (3.5–21.7)a9.7 (3.5–26.5)a
        Sufficient time with clinician (n = 1685), OR (95% CI)4.1 (2.4–6.8)a9.1 (4.4–18.8)a53.9 (21.9–132.8)a
  • Values in parentheses represent the 95% CI for dichotomous outcomes and the SE for continuous outcomes. OR indicates odds ratio.

  • a P < .05 for the comparison of each visit length category compared to the 1- to 10-minute category.

  • b P < .05 for overall χ2 test across all visit length categories.

  • c Model includes controls for child age, maternal race/ethnicity, family income, maternal education, health insurance, practice setting, clinician gender (with “no single clinician” category), and child health status.